An end to the dementia enhanced service with a transfer of resources to core funding.

No disruption for practices from annual contract changes, with no new clinical workload schemes or changes to the Quality and Outcomes Framework (QOF)

Joint commitment to explore the end of the QOF and “Avoiding Unplanned Admissions” enhanced service.

A commitment to a national strategy to reduce bureaucracy and manage demand on GP services.

A 28% increase to the vaccination and immunisation item of service fees from £7.64 to £9.80.

GP practices will be required to record data on the availability of evening and weekend opening for routine appointments, which is to be collected until 2020/21.

GP practices will record annually the number of instances where a practice pays a locum doctor more than an indicative maximum rate, as set out by NHS England.

The MenACWY 18 years will be extended to allow for the opportunistic vaccination of 19-25 year old non-freshers who self-present for vaccination.

NHS Employers and GPC will work with NHS England and the Department of Health to ensure that appropriate and meaningful data relating to patients’ named accountable GP is made available at practice level. This data will be shared internally within practices and used to improve services for patients.